Individual
MRS. AMY LETORT FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7718 SOUTHERN BAY LN, VANCLEAVE, MS 39565-9692
(251) 709-9218
Mailing address
7718 SOUTHERN BAY LN, VANCLEAVE, MS 39565-9692
(251) 709-9218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3135
MS
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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